2016-07-14T14:57:03-07:00 2015-11-30 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2014-12-01 720445607 Jennings American Legion Hospital Inc JENN 3376167100 1634 Elton Road Jennings LA 70546 Dana D Williams CEO 2016-07-14 true Mary L Carroll P00564251 3184871450 2014 2016-09-27 15:27:22Z 40454547 false false X N/A X 1952 LA Healthcare services 17 14 533 62 0 1541399 1033681 35063516 39406851 97091 13374 0 36702006 40453906 0 0 19141711 19006399 0 0 18847226 18991801 37988937 37998200 -1286931 2455706 36607027 38348477 12176732 11004900 24430295 27343577 Healthcare services false false 20953209 40453906 Jennings AMERICAN LEGION HOSPITALS (JALH) OPERATES A 49 BED ACUTE CARE HOSPITAL. JALH PROVIDES INPATIENT AND OUTPATIENT SERVICES, AND OPERATES A 24-HOUR EMERGENCY ROOM. JALH PROVIDES THESE SERVICES REGARDLESS OF RACE, COLOR, CREED, RELIGION, GENDER, NATIONAL ORIGION, DISABILITY, AGE, OR ABILITY TO PAY. THE HOSPITAL PROVIDED THE FOLLOWING INPATIENT DAYS OF CARE DURING FY 2015: MEDICARE MEDICAID TOTALACUTE 4,660 1,404 9,114JALH IS VERY ACTIVE IN THE COMMUNITY. JALH HOSTS A NUMBER OF HEALTH FAIRS FOR THE COMMUNITY. THE HEALTH FAIRS OFFER THE COMMUNITY ACCESS TO A NUMBER OF FREE HEALTH SCREENINGS AND ACCESS TO VENDORS FOR THEIR HEALTH. JALH DISTRIBUTES A QUARTERLY COMMUNITY NEWSLETTER. THIS NEWSLETTER INCLUDES TIMELY HEALTHCARE TOPICS INCLUDING SMOKING CESSATION, DIABETIC AWARENESS, CONTROLLING BLOOD PRESSURE, ETC.JALH PARTICIPATES IN THE MEDICAID PROGRAM AND ADMINISTERS A CHARITY CARE POLICY WHEREBY FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO QUALIFIED FINANCIALLY TROUBLED INDIVIDUALS. JALH FOREGONE $3,100,878 OF CHARGES FOR THE YEAR ENDED NOVEMBER 30, 2015. 20953209 true true false false false false false false false false true false false true false true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false false false false false false 88 0 false 533 true false false false false false false false false 0 false false false false false false false false false false X 17 14 false false false false false true false true true false false false true true true true true true false false X Chris Kohlenberg CFO 3376167032 1634 Elton Road Jennings LA 705463614 X RICHARD OUSTALET Director 1.00 0.00 X 5900 0 0 DARIN DOUMITE Director 1.00 0.00 X 4300 0 0 GLEN MCFARLAIN Director 1.00 0.00 X 6000 0 0 CHRISTOPHER ACHEE Director 1.00 0.00 X 11850 0 0 DALE LANDRY Director 1.00 0.00 X 6000 0 0 MICHAEL BENOIT Director 1.00 0.00 X 4900 0 0 ELLA DARTEZ Director 1.00 0.00 X 5800 0 0 ALLEN MEDUS Director 1.00 0.00 X 12600 0 0 DARRELL LANDRY Director 1.00 0.00 X 6000 0 0 JAMES RICHERT JR Director 1.00 0.00 X 6000 0 0 RICHARD ARCENEAUX Director 1.00 0.00 X 12500 0 0 ARTHUR D MATTE CPA Chairman 1.00 0.00 X 12400 0 0 JOHN LOUVIERE JR Director 1.00 0.00 X 6000 0 0 LARRY BENOIT Director 1.00 0.00 X 6000 0 0 MICHAEL HOLLAND Director 1.00 0.00 X 4000 0 0 JULIE BERRY Director 1.00 0.00 X 5600 0 0 CARL BENOIT Director 1.00 0.00 X 6000 0 0 KEVIN BERKEN Director 1.00 0.00 X 5900 0 0 KRYSTLE BAKER Director 1.00 0.00 X 4800 0 0 RONNIE PETREE Director 1.00 0.00 X 5600 0 0 DANA D WILLIAMS CEO 40.00 0.00 X 260918 0 9486 CHRIS KOHLENBERG CFO 40.00 0.00 X 102956 0 0 KEITH SIMPSON COO 40.00 0.00 X 171312 0 5901 GEORGE BAILEY DOCTOR 40.00 0.00 X 412627 0 12568 JOEL BAILEY MD 40.00 0.00 X 155340 0 4523 THERESA WOODS CNO 40.00 0.00 X 169743 0 8792 PAMELA PRIMEAUX CFO 40.00 0.00 X 114151 0 4194 1525197 45464 7 true true false CPS Inc PO Box 638316 CINCINNATI OH 452638316 PHARMACY MGMT FEE 2687453 CPSI CPA PO BOX 850309 MOBILE AL 36685 TECH SUPPORT 533475 SOFTSCRIPT INC 1801 W OLYMPIC BLVD PASADENA CA 91191 CONTRACT SERVICE 325516 SOUTHWEST SURGERY ASSOCIATES 1636 ELTON ROAD SUITE 201 JENNINGS LA 70546 PHYSICIAN CONTRACT 285723 JEFF DAVIS IMAGING PO BOX 357 JENNINGS LA 70546 CONTRACT SERVICE 264198 15 1025181 8500 1033681 NET PATIENT SERVICE REV 37104858 37104858 OTHER OPERATING REVENUE 2301993 2301993 39406851 14015 14015 0 0 0 641 -641 -641 -641 0 0 0 0 40453906 39420225 0 0 0 0 694993 694993 0 14836472 8333646 6502826 404778 227364 177414 2018756 1133935 884821 1051400 590571 460829 0 59642 33501 26141 51653 29013 22640 0 0 0 2004076 1125689 878387 32215 18095 14120 0 0 0 0 26100 14660 11440 0 41542 23334 18208 303454 170450 133004 0 2290132 1286367 1003765 659738 370575 289163 SUPPLIES 5615920 3154462 2461458 PROFESSIONAL FEES 2991475 1680312 1311163 REPAIRS AND MAINTENANCE 1588840 892451 696389 TAXES 647656 363788 283868 2679358 1504996 1174362 37998200 20953209 17044991 0 0 979156 1734124 0 3408958 3272396 0 0 0 1069307 1010034 851847 833765 47704885 31883330 17393629 15821555 0 0 0 0 12904130 15676603 36607027 38348477 2612540 2933233 9564192 8071667 12176732 11004900 X 23757295 26670577 673000 673000 24430295 27343577 36607027 38348477 2455706 457576 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1391338 1391338 27008123 18123461 8884662 699215 564010 135205 18461320 13195859 5265461 144889 144889 15821555 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 871319 GUARANTEE RECEIVABLE 1827946 INVESTMENTS RESTRICTED 12679127 OTHER RECEIVABLE 298211 15676603 X 40453906 40453906 40453906 37998200 37998200 37998200 Part X : FIN48 Footnote NOTE 17- INCOME TAXESAccounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Hospital and recognize a tax liability if the organization has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Service. Management has concluded that there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any periods in progress. Hospital management believes it is no longer subject to income tax examinations for periods ending prior to November1, 2011. true true true X true X true true true false false false 2160717 1280909 879808 0.02530 5188484 4812526 375958 0.01080 7349201 6093435 1255766 0.03610 17 10139 10139 0.00030 980734 183038 797696 0.02290 1671 1671 17 992544 183038 809506 0.02320 17 8341745 6276473 2065272 0.05930 false 3222502 920669 12899913 14825849 -1925936 X true false 1 1 JENNINGS AMERICAN LEGION HOSP 1634 ELTON RD JENNINGS LA 70546 jenningsamericanlegionhospital 1720071 X X X JENNINGS AMERICAN LEGION HOSP 1 false false true X X X X X X X X X 13 true false false true X jenningsamericanlegionhospital.com X true 13 true http://jenningsamericanlegionhospital.com/files/2015/07/Impl false false true X 200.0000 300.0000 X X X X X true false true X jenningsamericanlegionhospital.com X X X true X X true X X X X X true false false Part V, Line 5 - Account Input from Persons Who Represent the Community Community input was provided through 15 key informant interviews and a community health input questionnaire to four focus groups. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy MAILED LETTER AND APPLICATION TO OUTPATIENT ER PRIVATE PAY PATIENTS Part V, Line 18d - Other Collection Actions Against a Patient LIENS FILED ON THIRD-PARTY AUTO LIABILITY PLANS ONLY Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) DISCOUNTED CARE IS DETERMINED BY 300% OF FPG - FREE CARE IS AT 200% Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit THE HOSPITAL ESTIMATES APPROXIMATELY 28.57% OF THE AMOUNTS WRITTEN OFF TO BAD DEBTS ARE RELATED TO PATIENTS WHO COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THIS ESTIAMTE IS BASED ON A REVIEW MADE MONTHLY ON THE LIST OF PATIENTS TURNED OVER TO COLLECTIONS. THE HOSPITAL DETERMINES THIS BASED ON THE PATIENT'S BILLING ADDRESS, SUCH AS A PATIENT LIVING IN A LOW INCOME HOUSING LOCATION OR PATIENT PROVIDING A FALSE ADDRESS. ANOTHER DETERMINING FACTOR IS WHETHER A PATIENT EVENTUALLY QUALIFIES FOR MEDICAID COVERAGE UNDER THE MEDICAID SPEND DOWN PROGRAM DUE TO LARGE MEDICAL BILLS. Part III, Line 8 - Explanation Of Shortfall As Community Benefit THE HOSPITAL CONTENDS THAT THE MAJORITY, IF NOT ALL, OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE HOSPITAL OFFERS QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF PAYMENT OR REIMBURSEMENT EXPECTATION. RESOURCES FOR MEDICARE PATIENTS VERSUS ALL OTHER PATIENTS ARE IDENTICAL BASED ON TREATMENT. Part VI - Needs Assessment Please see the attached PDF CHNA JALH Part VI - Patient Education of Eligibility for Assistance Jennings American Legion Hospital is committed to patients first. As part of this commitment, Jennings American Legion Hospital's vision is to provide the highest quality healthcare at the lowest possible cost to all people in the hospital's service area. The hospital's charity care program supports patients who have demonstrated financial need and require medically necessary medical services. Jennings American Legion's Financial Counselor visits with all physicians on staff and keeps her business cards in their offices for patients that need assistance. On a daily basis the Financial Counselor runs reports of all private pay patients. She then visits all the private pay patients that are Inpatient to screen for assistance. For the patients that have been through outpatient departments, including the ER the Financial Counselor mails a financial assistance package . Follow-up phone calls are also made by the financial counselor to aide in return packets.The Financial Counselor obtains the following information to determine a patient's need for charity care: household income, family size, assets, and availability of alternative sources of payments. Finally, a thorough review is completed and the following services are provided:- Assist patients with a governmental assistance application when applicable.- Help patients determine if a third party is liable.- Provide medical services at reduced rates or at no cost.- Provide individualized plans based on the patient's ability to pay.- Use fair and consistent collection practices. Part VI - Community Information Jennings American Legion Hospital is currently licensed to operate 49 beds and is accredited by The Joint Commission. For fiscal year 2015, patient volumes included more then 3,044 admissions and 15,215 emergency department visits.JENNINGS, is a small town of approximately 10,383 located on Interstate 10 about halfway between two major cities in Louisiana, Lafayette and Lake Charles. It is also halfway between Houston Texas and New Orleans Louisiana. Jennings is the seat of Jefferson Davis Parish.Jennings American Legion Hospital services all of Jefferson Davis Parish, parts of Allen Parish, Acadia Parish, Calcasieu Parish and Evangeline Parish. Jefferson Davis Parish population was 40,335. The average income in Jefferson Davis Parish was $24,410. The percentage of Jefferson Davis Parish residents living below the poverty line in 2014 was 26.2%. Jennings American Legion Hospital is the only hospital to serve Jefferson Davis Parish.The number of people in Jefferson Davis Parish with a disability is 6,539. The percentage of the population who were female in 2011 was 51.1%. The population classified as white was 80.07%, African American 17.5%, Asian .3%, two or more races 2.0% and Hispanic or Latino 2.4%. X X X X false false false false false false false false false false DANA D WILLIAMS CEO 248686 12232 9486 270404 GEORGE BAILEY DOCTOR 273572 127055 12000 12568 425195 JOEL BAILEY MD 138197 1333 15810 4523 159863 KEITH SIMPSON COO 170761 551 5901 177213 PAMELA PRIMEAUX CFO 82209 31942 4194 118345 THERESA WOODS CNO 169198 545 8792 178535 Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE BOARD. WHENEVER CONFLICT EXISTS, THE BOARDMEMBER MUST ABSTAIN FROM VOTING ON ANY MATTERS AFFECTED BY THE CONFLICT. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management A COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE CEO'S SALARY ON AN ANNUAL BASIS. THE APPROVAL PROCESS INCLUDES COMPARISON TO COMPENSATION SURVEYS MADE BY THE HOSPITAL ASSOCIATION AND OTHER TRADE ORGANIZATIONS. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available No documents available to the public.